- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.21 / $3,776.00 / $9,727.00
| Facility | | $336.21 | $3,776.00 | $9,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.64 / $438.34 / $728.95
| Facility | | $208.64 | $438.34 | $728.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.80 / $342.96 / $580.00
| Facility | | $210.80 | $342.96 | $580.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.05 / $362.56 / $616.16
| Facility | | $293.05 | $362.56 | $616.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.16 / $1,122.00 / $3,585.00
| Facility | | $178.16 | $1,122.00 | $3,585.00 |